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Archives of Women's Mental Health - The experience of motherhood is most often emotionally positive and rewarding, but for many new mothers suffering from postpartum depression (PPD), this is... 相似文献
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Francesco Venturelli Giuliano Carrozzi Letizia Sampaolo Lara Bolognesi Sandro Baldissera Nicoletta Bertozzi Stefano Campostrini Benedetta Contoli Gianluigi Ferrante Maria Masocco Valentina Minardi Angelo D'Argenzio Pirous F Moghadam Luana Penna Alberto Perra Elisa Quarchioni Mauro Ramigni Massimo O Trinito Stefania Salmaso 《Lancet》2014
BackgroundInfluenza is an important public health problem, with potential severe consequences among people with chronic diseases. The aim of this study was to obtain reliable measures of seasonal influenza vaccine uptake in this population, otherwise not available in Italy.MethodsProgressi delle Aziende Sanitarie per la Salute in Italia (PASSI) is a nationwide surveillance system of health-related behaviours and acceptance of preventive interventions (including influenza immunisation) offered by the Italian National Health Service. Data are collected with telephone interviews at local health unit level for supporting local activities. The survey sample is randomly selected from local health unit lists of adult residents. The trend of annual vaccine coverage since 2008 was estimated for people aged 18–64 years who reported having at least one chronic disease. To obtain a sufficient sample size in subgroups, we analysed the characteristics of vaccinated people in the 2010–13 cumulative dataset. Univariate, multivariate, and logistic regression analyses were undertaken.FindingsIn 2008–13, 13 659 individuals with at least one chronic disease were interviewed. Vaccination coverage fell significantly from 29·7% (95% CI 27·2–32·4) in 2007–08 to 19·9% (18·0–22·1) in 2012–13. During 2010–13, the overall proportion of vaccinated people with a chronic disease was 25·6% (24·5–26·7). Vaccine coverage of people with diabetes (34·3%, 31·7–36·9) or cardiovascular diseases (31·8%, 29·6–34·2) was greater than that of people affected by renal failure, respiratory diseases, tumours, or chronic liver diseases (26·5% [22·5–30·7], 24·9% [23·2–26·7], 22·2% [20·0–24·6], and 20·6% [17·5–24·6], respectively). Vaccination coverage increased with age (from 13·1% [11·0–15·5] in the 18–34 year age group to 33·4% [31·9–35·1] in people aged 50–64 years); it was higher among people with a low educational level than among those with a high educational level, higher in those having economic difficulties than in those with no economic difficulties, and higher among Italian citizens than among non-citizens.InterpretationIn the past few years, prevalence of influenza vaccination in Italian adults with at least one chronic disease was well below the Ministry of Health's goal (75% minimum) and showed a downward trend. A major reason of this evolution is probably the changing public perception of the benefits and risks of vaccines. PASSI is a source of useful data not otherwise available for public health intervention.FundingItalian Ministry of Health. 相似文献
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Erythrocytapheresis is a valid and safe therapeutic option in dysmetabolic iron overload syndrome
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Calogero Vetro Rosamaria Rosso Stefano Palmucci Maurizio Russello Grazia Colletta Maria Anna Romeo Benedetta Ximenes Alessandra Romano Giuseppe Alberto Palumbo Francesco Di Raimondo 《Journal of clinical apheresis》2016,31(5):443-447
Dysmetabolic iron overload syndrome is a rare event causing hepatic impairment with serious long‐term side effects. Here, we describe a case of metabolic syndrome‐related hepatic iron overload that showed a rapid, effective, and safe response to erythrocytapheresis. J. Clin. Apheresis 31:443–447, 2016. © 2015 Wiley Periodicals, Inc. 相似文献
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Zanella Isabella Zacchi Eliana Fornari Chiara Fumarola Benedetta Antoni Melania Degli Zizioli Daniela Quiros-Roldan Eugenia 《Metabolic brain disease》2022,37(5):1569-1583
Metabolic Brain Disease - Cognitive decline of aging is modulated by chronic inflammation and comorbidities. In people with HIV-infection (PWH) it may also be affected by HIV-induced inflammation,... 相似文献
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Carolina D’Anna Armando Caputi Benedetta Natali Benedetta Leonardi Aurelio Secinaro Gabriele Rinelli Alessia Del Pasqua Claudia Esposito Adriano Carotti Fabrizio Drago Marcello Chinali 《The international journal of cardiovascular imaging》2018,34(3):399-406
Right ventricular (RV) evaluation represents one of the major clinical tasks in the follow-up of repaired tetralogy of Fallot patients (rToF) with pulmonary valve regurgitation, as both severe RV dilatation and dysfunction are key factors in defining the need of pulmonary valve replacement. The aim of our study was to report the diagnostic accuracy of echocardiography in the identification of rToF patients with severely dilated and/or depressed RV as compared to cardiac magnetic resonance (CMR). Among our patients with rToF, a subgroup of 95 (17.6?±?6.8 years; 60% male), who underwent right ventricular qualitative and quantitative evaluation with CMR following echocardiographic suspicion of severe dilation/dysfunction, were included in the analysis. When comparing echocardiographic RV functional parameters to CMR findings, we found no association between CMR-ejection fraction (EF) and either tricuspid annulus plane systolic excursion (TAPSe) nor tissue Doppler systolic tricuspid excursion velocity (all p?=?ns). In contrast RVFAC was strongly associated with CMR-EF (r?=?0.44; p?<?0.01) as well as to longitudinal components of RV mechanics including tissue Doppler s′ (r?=?0.40; p?<?0.01) and TAPSE (r?=?0.36; p?<?0.01). When comparing echocardiographic and CMR structural parameters of the RV, we found that CMR RV volume was strongly related to echocardiographic measurements of RV end diastolic area (from the 4 chamber apical view) and with proximal parasternal short axis right ventricle outflow-dimension. Accordingly a regression model was derived from multiple regression analysis, which allows a more accurate estimate of CMR RV volume from echocardiography (r2?=?0.59, p?<?0.001). Our study demonstrates a significant, although imperfect, correlation between echocardiographic and CMR RV functional and geometrical parameters. Combining echocardiographic measures of RV inflow and RV outflow, we deliver a simple formula to estimate CMR-RV volume, improving the echocardiographic accuracy in RV volume quantification. 相似文献
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Antonio VALENTI Giuliana BURESTI Bruna Maria RONDINONE Benedetta PERSECHINO Fabio BOCCUNI Grazia FORTUNA Sergio IAVICOLI 《Industrial health》2015,53(4):332-339
Despite all the emphasis laid today on the green economy, occupational health and safety
(OHS) issues have still been talked only limitedly, as already noted in previous studies
and literature reviews. The Department of Occupational and Environmental Medicine,
Epidemiology and Hygiene of the Italian Workers’ Compensation Authority (INAIL) has
conducted a survey among some Italian stakeholders, social partners, institutions and
“green” businesses to gather their perceptions of the potential effects of
green jobs on OHS, particularly in the renewable energy
sector. The survey involved a sample of 61 stakeholders in the following categories:
institutions (11), trade unions (11), employers’ organizations (13), businesses (11),
research (15). Participation in this survey of national stakeholders who have a central
role in the development and management of policies on renewable energy and OHS, allowed to
analyze in depth the fundamental aspects for a fair transition towards green economy.
Also, the good agreement among respondents brought to light quite clearly the main
critical points as regards the OHS implications of green work in Italy, and pointed to the
principal policies to be adopted to safeguard workers’ health and safety. 相似文献
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